How Has the Rise of Physician Employment Changed Hospitals' Recruitment ...Becker's Hospital ReviewThe answer depends on whether physicians are appointed to leadership positions, whether incentives are aligned, and other determinants.

Billy R Bennett's insight:

Our U.S. healthcare model is changing - and changing fast.

This articles mainly focuses on recruiting but a few lines give a glimpse at how significant that change is becoming.

Here are the drivers:

Hospitals facing a growing shift from fee for service to performance based payments are realizing they need to redesign and build a well organized delivery system with the doctor as team leader and team player.

Physicians - who were rarely great at managing a business - are bailing on private practice and choosing to do what they do best - practice medicine.

The smart CEO is the one putting resources into redesigning the organization and its processes to support the meeting of these two strategic drivers. This will take time but hospital leaders can start today:

Start with picking a starting place- a "mini system" where you can focus on specific services and outcome areas. Pick an area where you can compete and have a good chance of becoming a game changer in your market if you get it right.

Pull together organization design resources AND process improvement resources. Make sure they know how to involve everyone in this mini system - medical staff (nursing, physician assistants, etc) , administrative. This is not just a process change - it is not just "leaning and aligning" this is total system change.

Get people excited and passionate about delivering real results. Get staff out to see great delivery examples. Drive learning and application from those visits. Start building a true shared vision among all of the people who will need to play in the system. Provide opportunities to bring ideas into the design our your new mini-system. The right physicians will get excited as well. Soon, recruiting becomes easy.

Be Aggressive. If you build it, they will come. Don't worry if you do not have the medical staff yet. As this article implies they will come but you need something for them to come to. Hence the reason for starting with the model mini-system first. However, you must be aggressive. Mini-systems cannot stand on their own for long. To survive you must build out other services soon after.

Remember ...This is not just a process change - it is not just "leaning and aligning" this is total system change.

This articles mainly focuses on recruiting but a few lines give a glimpse at how significant that change is becoming.

Here are the drivers:

Hospitals facing a growing shift from fee for service to performance based payments are realizing they need to redesign and build a well organized delivery system with the doctor as team leader and team player.

Physicians - who were rarely great at managing a business - are bailing on private practice and choosing to do what they do best - practice medicine.

The smart CEO is the one putting resources into redesigning the organization and its processes to support the meeting of these two strategic drivers. This will take time but hospital leaders can start today:

Start with picking a starting place- a "mini system" where you can focus on specific services and outcome areas. Pick an area where you can compete and have a good chance of becoming a game changer in your market if you get it right.

Pull together organization design resources AND process improvement resources. Make sure they know how to involve everyone in this mini system - medical staff (nursing, physician assistants, etc) , administrative. This is not just a process change - it is not just "leaning and aligning" this is total system change.

Get people excited and passionate about delivering real results. Get staff out to see great delivery examples. Drive learning and application from those visits. Start building a true shared vision among all of the people who will need to play in the system. Provide opportunities to bring ideas into the design our your new mini-system. The right physicians will get excited as well. Soon, recruiting becomes easy.

Be Aggressive. If you build it, they will come. Don't worry if you do not have the medical staff yet. As this article implies they will come but you need something for them to come to. Hence the reason for starting with the model mini-system first. However, you must be aggressive. Mini-systems cannot stand on their own for long. To survive you must build out other services soon after.

Remember ...This is not just a process change - it is not just "leaning and aligning" this is total system change.

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